Guest guest Posted March 13, 2005 Report Share Posted March 13, 2005 Thanks again, much appreciated > Mo (in England - Devon to be precise) ______________ Good luck. It seems like when the adrenals are involved, recovery is much slower. Just getting your thyroid dose up high enough becomes a challenge in adrenal fatigue. Tish Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 13, 2005 Report Share Posted March 13, 2005 The doctors that are more knowledgable about adrenal problems and thyroid treatment, usually prescribe glandulars, cortef or some other cortisone to be started about one week before starting thyroid therapy. My first doctor did not do this and I had a terrible meltdown and truely lost my health. The adrenals are so vitally important for your health and well being, that when they have problems, you really have problems. Increasing thyroid or starting thyroid, greatly increases the demands for cortisol and other hormones from the adrenals. In hypothyroidism, the body's metabolic rate slows down and in this way, cortisol from the adrenals is spared. When the body is slow, you may not notice that your adrenals have become weak because the slow body has a slow liver, which does not break down and remove cortisol very quickly. So, the lower amount of adrenal hormones you are making are kept in the system longer and in this way the body adapts. Similar adaptations happen with thyroid and that is why you can become very hypo and still get by. Anyway, when you start to take thyroid or increase your dose, you increase the need for cortisol since you are speeding up the metabolic rate and you speed up the breakdown and removal of cortisol in the liver. These two things together qickly deplete cortisol from the system. At the same time, the adrenals are weak and small from hypothyroidism and cannot make enough hormone to replace what is lost and keep up with the new higher demands. This is when you get into trouble. It takes about 10 days to two weeks after starting thyroid sometimes for the problems to show up. You will feel really terrible when adrenal hormone levels are too low. Some of the things that happen are: hypoglycemia, insomnia, tight sore muscles, muscle wasting, weakness, extreem fatigue, headaches, very poor stress and activity tolerance, rotten sleep, thirst, sugar, salt, and carbo craving, emotional disturbances and irrational anger and on and on. Also, when cortisol goes too low, thyroid hormone can't work. It can't get into tissues and builds up in the blood giving you a combination of hypo and hyper symtpoms. You will become very intolerant of thyroid hormone and have a lot of difficulty with thyroid dose raises. Cortisol is needed to give the body enough glucose so that thyroid can make energy and to convert the inactive thyroid hormone T4 to the energy producting hormone T3. So, if there is not enough cortisol, you can't use thyroid and you can become what they call thyrotoxic. But, this is not true hyperthyroidism as the tissues are very deprived. Then, doctors, who are quite ignorant about this, will run the thyroid tests and everything will come back high. Since tests only measure what is in the blood and not what is in tissues, tests are quite inaccurate in adrenal fatigue. Dr. Peatfield says that this situation makes nonsense of tests. Often body temperature is very low even though tests come back high. So, the majority of doctors will keep patients at very low doses of thyroid for long times due to over reliance on tests. This can be harmful to your health. If you develop trouble with thyroid at doses less than about 3 grains or 222 mcg of Synthroid, then the problem is usually low adrenal fucntion, anemia or some other deficiency or weakness in the body not allowing it to be able to use thyroid. In this situation, thyroid dose raises need to be very tiny and you will need to wait longer between them I was only able to make 1/8 grain raises every 4 weeks. A typical person with few adrenal problems can make 1/4 grain raises every two weeks. In adrenal fatigue, you will have to wait untill you are stong enough before antother dose raise and if you have a lot of trouble with a dose raise, then you might have to occassionally drop back down for a while untill you can handle going up again. It takes 4 months to two years for the adrenals to fully recover normal function. It takes the body some time to adapt to faster metabolic rates caused by thyroid medications. You have to go slowly to give it time to recover before more dose raises. People with adrenal problems with their hypothyroidism, can easily get stuck at too low of doses due to the problems with inaccurate tests and ignorant doctors. Then, their adrenals never get better and they get stuck in a kind of miserable life. That was me for a year. Studies have shown that low dose thyroid replacement does not work for the vast majority of people. The heatlhy human thyroid makes 3 to 5 grains a day or about 222 to 370mcg of synthroid equivelent a day. Low dose thyroid therapy has been found in several studies to be ineffective at raising the metabolic rate. Doses of 3 to 5 grains or at least 222 mcg of synthroid up to 400 mcg of synthroid are needed to change the status of a hypothryoid person. In low dose therapy, the pituitary works to zero out low doses. In other words, when you take 1 grain of Armour, the pituitary will drop production of TSH to tell your thyroid to make another 2 to 4 grains or less so that everything remains the same in the blood. Doses less than 3 to 5 grains or 222 to 370mcg of synthroid seem not to work to make the peron normal and healthy and sometimes they can overly suppress pituitary function making the person even more hypothyroid than before medications. This happened to me. Having adrenal fatigue will often confuse the doctor into thinking you have adequate thyroid levels and this can leave you undermedicated and stop you from getting your dose up where you need to be healthy. http://thyroid.about.com/library/derry/bl11.htm So, it can be very difficult to get your thyroid dose up to a point that makes you healthy, when the adrenals are weak. But, it is essential to get your dose up high enough so that the adrenals can with time become normal in size and function. To monitor your progress with your thryoid treatment and to see if your adrenal situation is improving, check out the following pages: http://www.drrind.com/tempgraph.asp http://www.thyrophoenix.com/self_monitor.htm http://www.alternate-health.com/thyroid.html If you monitor your own thyroid and adrenal function, you will not allow the doctor to keep you at too low of thyroid replacement doses and you will know when you need another dose raise and when a doctor says you are fine when you aren't, you will know when it's time to find another doctor and not allow your health to be compromised by being undermedicated for too long. The tests above were how thyroid doses were adjusted for over 75 years before the tests we have today. They are very effective methods of determining metabolic function, which is controlled by thyroid and adrenal function mostly. I think they are better than blood tests when used over the long run. Tish Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 13, 2005 Report Share Posted March 13, 2005 The doctors that are more knowledgable about adrenal problems and thyroid treatment, usually prescribe glandulars, cortef or some other cortisone to be started about one week before starting thyroid therapy. My first doctor did not do this and I had a terrible meltdown and truely lost my health. The adrenals are so vitally important for your health and well being, that when they have problems, you really have problems. Increasing thyroid or starting thyroid, greatly increases the demands for cortisol and other hormones from the adrenals. In hypothyroidism, the body's metabolic rate slows down and in this way, cortisol from the adrenals is spared. When the body is slow, you may not notice that your adrenals have become weak because the slow body has a slow liver, which does not break down and remove cortisol very quickly. So, the lower amount of adrenal hormones you are making are kept in the system longer and in this way the body adapts. Similar adaptations happen with thyroid and that is why you can become very hypo and still get by. Anyway, when you start to take thyroid or increase your dose, you increase the need for cortisol since you are speeding up the metabolic rate and you speed up the breakdown and removal of cortisol in the liver. These two things together qickly deplete cortisol from the system. At the same time, the adrenals are weak and small from hypothyroidism and cannot make enough hormone to replace what is lost and keep up with the new higher demands. This is when you get into trouble. It takes about 10 days to two weeks after starting thyroid sometimes for the problems to show up. You will feel really terrible when adrenal hormone levels are too low. Some of the things that happen are: hypoglycemia, insomnia, tight sore muscles, muscle wasting, weakness, extreem fatigue, headaches, very poor stress and activity tolerance, rotten sleep, thirst, sugar, salt, and carbo craving, emotional disturbances and irrational anger and on and on. Also, when cortisol goes too low, thyroid hormone can't work. It can't get into tissues and builds up in the blood giving you a combination of hypo and hyper symtpoms. You will become very intolerant of thyroid hormone and have a lot of difficulty with thyroid dose raises. Cortisol is needed to give the body enough glucose so that thyroid can make energy and to convert the inactive thyroid hormone T4 to the energy producting hormone T3. So, if there is not enough cortisol, you can't use thyroid and you can become what they call thyrotoxic. But, this is not true hyperthyroidism as the tissues are very deprived. Then, doctors, who are quite ignorant about this, will run the thyroid tests and everything will come back high. Since tests only measure what is in the blood and not what is in tissues, tests are quite inaccurate in adrenal fatigue. Dr. Peatfield says that this situation makes nonsense of tests. Often body temperature is very low even though tests come back high. So, the majority of doctors will keep patients at very low doses of thyroid for long times due to over reliance on tests. This can be harmful to your health. If you develop trouble with thyroid at doses less than about 3 grains or 222 mcg of Synthroid, then the problem is usually low adrenal fucntion, anemia or some other deficiency or weakness in the body not allowing it to be able to use thyroid. In this situation, thyroid dose raises need to be very tiny and you will need to wait longer between them I was only able to make 1/8 grain raises every 4 weeks. A typical person with few adrenal problems can make 1/4 grain raises every two weeks. In adrenal fatigue, you will have to wait untill you are stong enough before antother dose raise and if you have a lot of trouble with a dose raise, then you might have to occassionally drop back down for a while untill you can handle going up again. It takes 4 months to two years for the adrenals to fully recover normal function. It takes the body some time to adapt to faster metabolic rates caused by thyroid medications. You have to go slowly to give it time to recover before more dose raises. People with adrenal problems with their hypothyroidism, can easily get stuck at too low of doses due to the problems with inaccurate tests and ignorant doctors. Then, their adrenals never get better and they get stuck in a kind of miserable life. That was me for a year. Studies have shown that low dose thyroid replacement does not work for the vast majority of people. The heatlhy human thyroid makes 3 to 5 grains a day or about 222 to 370mcg of synthroid equivelent a day. Low dose thyroid therapy has been found in several studies to be ineffective at raising the metabolic rate. Doses of 3 to 5 grains or at least 222 mcg of synthroid up to 400 mcg of synthroid are needed to change the status of a hypothryoid person. In low dose therapy, the pituitary works to zero out low doses. In other words, when you take 1 grain of Armour, the pituitary will drop production of TSH to tell your thyroid to make another 2 to 4 grains or less so that everything remains the same in the blood. Doses less than 3 to 5 grains or 222 to 370mcg of synthroid seem not to work to make the peron normal and healthy and sometimes they can overly suppress pituitary function making the person even more hypothyroid than before medications. This happened to me. Having adrenal fatigue will often confuse the doctor into thinking you have adequate thyroid levels and this can leave you undermedicated and stop you from getting your dose up where you need to be healthy. http://thyroid.about.com/library/derry/bl11.htm So, it can be very difficult to get your thyroid dose up to a point that makes you healthy, when the adrenals are weak. But, it is essential to get your dose up high enough so that the adrenals can with time become normal in size and function. To monitor your progress with your thryoid treatment and to see if your adrenal situation is improving, check out the following pages: http://www.drrind.com/tempgraph.asp http://www.thyrophoenix.com/self_monitor.htm http://www.alternate-health.com/thyroid.html If you monitor your own thyroid and adrenal function, you will not allow the doctor to keep you at too low of thyroid replacement doses and you will know when you need another dose raise and when a doctor says you are fine when you aren't, you will know when it's time to find another doctor and not allow your health to be compromised by being undermedicated for too long. The tests above were how thyroid doses were adjusted for over 75 years before the tests we have today. They are very effective methods of determining metabolic function, which is controlled by thyroid and adrenal function mostly. I think they are better than blood tests when used over the long run. Tish Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 13, 2005 Report Share Posted March 13, 2005 Tish, Your insight and explanation of why and how to carefully support adrenals and thyroid is just superb. I thank you from the bottom of my heart. .... Quote Link to comment Share on other sites More sharing options...
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